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Availability of Safe Childbirth Supplies in 284 Facilities in Uttar Pradesh, India.

Abstract：

:Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these supplies can determine the scope of shortages and need for supply chain strengthening. Methods A cross-sectional survey on the availability of functional and/or unexpired supplies was assessed in 284 public-sector facilities in 38 districts in Uttar Pradesh, India. The twenty-three supplies were categorized into three non-mutually exclusive groups: maternal (8), newborn (9), and infection control (6). Proportions and mean number of supplies available were calculated; means were compared across facility types using t-tests and across districts using a one-way ANOVA. Log-linear regression was used to evaluate facility characteristics associated with supply availability. Results Across 284 sites, an average of 16.9 (73.5%) of 23 basic childbirth supplies were available: 63.4% of maternal supplies, 79.1% of newborn supplies, and 78.7% of infection control supplies. No facility had all 23 supplies available and only 8.5% had all four medicines assessed. Significant variability was observed by facility type and district. In the linear model, facility type and distance from district hospital were significant predictors of higher supply availability. Conclusions for Practice In Uttar Pradesh, more remote sites, and primary and community health centers, were at higher risk of supply shortages. Supply chain management must be improved for facility-based delivery and quality of care initiatives to reduce maternal and neonatal harm.

journal_name

Matern Child Health J

journal_title

Maternal and child health journal

authors

Galvin G,Hirschhorn LR,Shaikh M,Maji P,Delaney MM,Tuller DE,Neville BA,Firestone R,Gawande AA,Kodkany B,Kumar V,Semrau KEA

doi

10.1007/s10995-018-2642-7

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

240-249

issue

2

eissn

1092-7875

issn

1573-6628

pii

10.1007/s10995-018-2642-7

journal_volume

23

pub_type

杂志文章

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